| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
| Edema de macula diabético refractario.REFRACTORY MACULAR EDEMA IN DIABETIC PATIENTS |
|
| MedDRA Classification |
| E.1.3 | Condition being studied is a rare disease | No |
| E.2 Objective of the trial |
| E.2.1 | Main objective of the trial |
| Evaluate the effect of intravitreal injections of ranibizumab in improvement of visual acuity and decrease central macular thickness in optical coherence tomography after one year of follow-up |
|
| E.2.2 | Secondary objectives of the trial |
| Evaluate the number of treatments required for maintenance of the benefit obtained. |
|
| E.2.3 | Trial contains a sub-study | No |
| E.3 | Principal inclusion criteria |
Diabetic type 1 and 2 patients. Diabetic macular edema, diffuse, refractory to laser treatment (decrease in visual acuity during the last six months treatment, with central thickness >250 microns. Less than very severe diabetic retinopathy. Visual acuity >20/320 Snellen (24 letters ETDRS). |
|
| E.4 | Principal exclusion criteria |
Tractional macular edema diagnosed in optical coherence tomography. Cataract that can require surgery in the following one year. Uncontrolled hypertension with medical treatment (>150/95 mm Hg) Bad glycemic control (HbA1C > 10%). Severe nephropathy. Previous hearth attack. Previous brain vascular disease. Pregnancy or intention of it during the following one year (pregnancy test required) Active ocular inflammation Previous vitrectomy in the study eye. Previous anti-glaucoma treatment that can increase macular edema. Use of any drug that can be toxic to the macula. Previous use of anti-angiogenic drug or intravitreous steroid in the study eye. |
|
| E.5 End points |
| E.5.1 | Primary end point(s) |
| Primary outcome measures are the percentage of eyes in which best-corrected visual acuity improves at least 5 letters ETDRS at one year follow-up and percentage of eyes in which central macular thickness reduces at least 50 microns in optical coherence tomography. |
|
| E.6 and E.7 Scope of the trial |
| E.6 | Scope of the trial |
| E.6.1 | Diagnosis | No |
| E.6.2 | Prophylaxis | No |
| E.6.3 | Therapy | No |
| E.6.4 | Safety | No |
| E.6.5 | Efficacy | Yes |
| E.6.6 | Pharmacokinetic | No |
| E.6.7 | Pharmacodynamic | No |
| E.6.8 | Bioequivalence | No |
| E.6.9 | Dose response | No |
| E.6.10 | Pharmacogenetic | No |
| E.6.11 | Pharmacogenomic | No |
| E.6.12 | Pharmacoeconomic | No |
| E.6.13 | Others | No |
| E.7 | Trial type and phase |
| E.7.1 | Human pharmacology (Phase I) | No |
| E.7.1.1 | First administration to humans | Information not present in EudraCT |
| E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
| E.7.1.3 | Other | Information not present in EudraCT |
| E.7.1.3.1 | Other trial type description | |
| E.7.2 | Therapeutic exploratory (Phase II) | Yes |
| E.7.3 | Therapeutic confirmatory (Phase III) | No |
| E.7.4 | Therapeutic use (Phase IV) | No |
| E.8 Design of the trial |
| E.8.1 | Controlled | Yes |
| E.8.1.1 | Randomised | No |
| E.8.1.2 | Open | Yes |
| E.8.1.3 | Single blind | No |
| E.8.1.4 | Double blind | No |
| E.8.1.5 | Parallel group | No |
| E.8.1.6 | Cross over | No |
| E.8.1.7 | Other | Yes |
| E.8.1.7.1 | Other trial design description |
|
| E.8.2 | Comparator of controlled trial |
| E.8.2.1 | Other medicinal product(s) | No |
| E.8.2.2 | Placebo | No |
| E.8.2.3 | Other | Yes |
| E.8.2.3.1 | Comparator description |
| INITIAL VISION AND MACULAR THICKNESS IN TREATED EYE |
|
| E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
| E.8.4 | The trial involves multiple sites in the Member State concerned | No |
| E.8.5 | The trial involves multiple Member States | No |
| E.8.6 Trial involving sites outside the EEA |
| E.8.6.1 | Trial being conducted both within and outside the EEA | No |
| E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
| E.8.7 | Trial has a data monitoring committee | No |
| E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
| ONE YEAR FOLLOW UP FROM TREATMENT |
|
| E.8.9 Initial estimate of the duration of the trial |
| E.8.9.1 | In the Member State concerned years | 2 |
| E.8.9.1 | In the Member State concerned months | 0 |
| E.8.9.1 | In the Member State concerned days | 0 |